| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.72 | $254.82 | $440.96 | |
Aetna
| Professional | $146.69 | $176.47 | $180.72 | |
Cigna
| Facility | $153.26 | $180.30 | $297.38 | |
Horizon BCBS
| Professional | $191.35 | $191.35 | $191.35 | |
United
| Professional | $180.30 | $180.30 | $212.61 |